Search icon

MEDICAL PAIN MANAGEMENT SERVICES, PLLC

Company Details

Name: MEDICAL PAIN MANAGEMENT SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 May 1998 (27 years ago)
Entity Number: 2257097
ZIP code: 12205
County: Albany
Place of Formation: New York
Address: 116 EVERETT ROAD, ALBANY, NY, United States, 12205

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 116 EVERETT ROAD, ALBANY, NY, United States, 12205

National Provider Identifier

NPI Number:
1215981261
Certification Date:
2024-10-10

Authorized Person:

Name:
MELISSA HARRIS
Role:
BILLING SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
207LP2900X - Pain Medicine (Anesthesiology) Physician
Is Primary:
Yes
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
5144630174

History

Start date End date Type Value
2005-03-15 2011-03-16 Address 12 CORPORATE WOOD BLVD, ALBANY, NY, 12211, USA (Type of address: Service of Process)
1998-05-07 2005-03-15 Address 63 SHAKER RD. SUITE G05, ALBANY, NY, 12204, 1030, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
220202003742 2022-02-02 BIENNIAL STATEMENT 2022-02-02
180503006518 2018-05-03 BIENNIAL STATEMENT 2018-05-01
160512006414 2016-05-12 BIENNIAL STATEMENT 2016-05-01
120507006171 2012-05-07 BIENNIAL STATEMENT 2012-05-01
110316000903 2011-03-16 CERTIFICATE OF CHANGE 2011-03-16

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
406400.00
Total Face Value Of Loan:
406400.00
Date:
2011-07-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-627000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
406400
Current Approval Amount:
406400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
411705.78

Date of last update: 31 Mar 2025

Sources: New York Secretary of State